Pediatric EM Morsels

JULY 28, 2023

Kendra Jackson and Rebecca Raffler While we’ve gotten to snack on a Morsel on this subject before , new guidelines and research surrounding DKA and cerebral edema have come to light since the first go ‘round! The Pediatric Emergency Medicine Collaborative Research Commitee. Authors: Drs. 2002 Dec;141(6):793-7. PMID: 12461495.

Fluid Resuscitation 246

Fluid Resuscitation Pediatrics Resuscitation Research 246

Don't Forget the Bubbles

MARCH 18, 2024

She appears pale and dehydrated , and her level of alertness fluctuates. Pay specific attention to fluid status, looking for evidence of dehydration. Manage hydration Children may be dehydrated or present with signs of fluid overload. Dehydration at admission increased the need for dialysis in hemolytic uremic syndrome children.

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Dehydration Infectious Diseases Seizures Pediatrics 59

EB Medicine

MARCH 4, 2020

Literature Review: There is abundant literature on pediatric AGE but sparse research on AGE in adults. Laboratory Testing and Imaging: Dehydration is the biggest contributor to mortality, especially in the very young and elderly. Lab evaluation for dehydration is recommended in these populations. Salmonella, most common o 5.3%

Emergency Department 40

Emergency Department Dehydration Poisoning Allergic Reactions 40

Pediatric Emergency Playbook

AUGUST 1, 2016

⇒ You have a stable child who just needs fluids, but no laboratory tests ⇒ You’ve tried PO hydration, to no avail, despite anti-emetics ⇒ You’re poking the stable, but dehydrated child repeatedly without success What now? Hypodermoclysis to treat dehydration: a review of the evidence. Everything else is just finesse. Pediatrics.

Allergic Reactions 52

Allergic Reactions Dehydration Pediatrics Geriatric Emergencies 52

Don't Forget the Bubbles

JANUARY 10, 2024

The factorial design chosen by Dr Maitland and her research group means that several comparisons in transfusion practice could be carried out at the same time. What were the research questions? Does the study address a clearly focused research question? N Engl J Med. 2019;381(5):407-419. Was blinding achieved?

Blood Transfusions 78

Blood Transfusions Research Outcomes Hospitals 78

EB Medicine

DECEMBER 30, 2019

Emergency Department Treatment Oxygen Keep O2 saturation >90% Clinicians may choose not to use continuous pulse oximetry (weak recommendation due to low-level evidence and reasoning) 1 Fluids IV or NG administration of fluids to combat dehydration, until respiratory distress and tachypnea resolve. Racemic Epinephrine Not recommended 1.

Emergency Department 40

Emergency Department Allergic Reactions Dehydration Pediatrics 40

EMDocs

DECEMBER 16, 2023

BMC research notes , 8 , 758. Temps greater than 41.5C per minute) 1,4 Body bag may be utilized if no immersion tank available 3 Evaporative cooling (DT 0.1C Determine and treat underlying cause , consider multiple etiologies. link] Kakoki, K., Hakariya, T., Takehara, K., Izumida, S., Kinoshita, N., Fukuoka, J., & Sakai, H.

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Hyperthermia / Hypothermia EMS Stroke Seizures 96

EB Medicine

AUGUST 1, 2018

Jeff: This DEA designation limits the ability to do research and obtain federal funding for such research. Synthetics were initially developed in the 1980s largely for research purposes. Jeff: The hyperemetic phase lasts 24-48 hours and can lead to dehydration, electrolyte abnormalities, and weight loss.

Seizures 40

Seizures Hyperthermia / Hypothermia Administration Dehydration 40

PEMBlog

MARCH 27, 2024

She aims to become a physician-scientist in pediatrics and medical genetics, engaging in bench-to-bedside research that utilizes multi-omics-based approaches to provide a molecular diagnosis and support personalized care for individuals with suspected rare genetic diseases and their families.

Pediatrics 59

Pediatrics Seizures Emergency Department Sepsis 59

EMDocs

NOVEMBER 4, 2024

Neuropathic pain: redefinition and a grading system for clinical and research purposes. Effects of hydration and dehydration on blood rheology in sickle cell trait carriers during exercise. Annu Rev Neurosci. 2009;32:1-32. doi:10.1146/annurev.neuro.051508.135531 051508.135531 Treede RD, Jensen TS, Campbell JN, et al. doi:10.1212/01.wnl.0000282763.29778.59

Emergency Department 106

Emergency Department Fractures Burns EMS 106

Dr. Smith's ECG Blog

APRIL 8, 2015

Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. Premonitory symptoms (Nausea, pallor, diaphoresis, flushing), or triggers (Valsalva, Pain, Emotion, Prolonged Standing, Dehydration) are very useful in making the diagnosis. Vasovagal syncope is generally benign.

Emergency Department 52

Emergency Department EKG/ECG Outcomes Seizures 52

Ziqitza HealthCare Ltd

MAY 24, 2023

If you’re traveling by plane, consider bringing your own healthy snacks or researching healthy options at the airport. According to Sweta Mangal Ziqitza, dehydration can lead to fatigue, headaches, and other health issues. Try to limit your intake of caffeine and alcohol, which can contribute to dehydration.

Dehydration 52

Dehydration Ambulance Services Wellness Research 52

EMDocs

JANUARY 20, 2025

For patients who are elderly, orthostasis is an unreliable clinical finding and may be present in the absence of dehydration. 36-37 There is little evidence regarding oral rehydration in adults with gastroenteritis, though it seems reasonable that adults with mild dehydration could be safely hydrated orally. Modified from: Pringle, K.,

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Dehydration Fluid Resuscitation Sepsis Resuscitation 75

Don't Forget the Bubbles

JULY 17, 2023

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. 2023 Jun;182(6):2735-2757 Point-of-care ultrasound to assess degree of dehydration in children: a systematic review with meta-analysis. Eur J Pediatr. Loe IM, et al.

Pediatrics 98

Pediatrics Emergency Department Outcomes Fractures 98

Don't Forget the Bubbles

JANUARY 1, 2024

We suggest this list can help you discover relevant or interesting articles for your local journal club or allow you to keep a finger on the pulse of paediatric research. Reviews and opinion articles Use of POCUS for the assessment of dehydration in pediatric patients-a narrative review. Musolino AM, et al. Eur J Pediatr. 2023 Dec 22.

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Pediatrics Ultrasounds Blood Transfusions Sepsis 98

Taming the SRU

FEBRUARY 3, 2025

In recent research, it has been discovered that as high as 42% of adult cancer patients and 70% of pediatric cancer patients suffer from laboratory changes associated with TLS, but have no associated clinical symptoms (9). paclitaxel, doxorubicin, cisplatin) high-risk monoclonal antibody treatments (i.e.

Fluid Resuscitation 56

Fluid Resuscitation Seizures Dehydration Emergency Department 56

Ziqitza HealthCare Ltd

JULY 11, 2024

One concern with dengue patients is dehydration, which can be exacerbated by these gastrointestinal symptoms. Hydration: Watch for signs of dehydration and stay hydrated at all times. This may continue long after the fever goes down. Nausea and Vomiting: Nausea, vomiting, and appetite loss are other common dengue symptoms.

Dehydration 40

Dehydration Ambulance Services Research 40

Don't Forget the Bubbles

SEPTEMBER 23, 2024

Inadequate fluid consumption, combined with factors like hot weather or strenuous physical activity, can lead to gradual dehydration with cumulative effects. Differential Diagnosis of Acute Issues Dehydration Every child will have a minimum daily fluid intake goal to achieve. Journal of Bone and Mineral Research , 21 (3), pp.380-387.

Pediatrics 52

Pediatrics Fractures Dehydration Sepsis 52

Mind The Bleep

NOVEMBER 2, 2024

Picture from Research Gate ( The Measuring of the Head Circumference of Children [17]. If the fontanelle is sunken then the baby may be dehydrated and if they are bulging then this can be a sign of birth injury or hydrocephalus. Place the tape measure above the ears and the eyebrows.

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Documentation/Coding Dislocations Ultrasounds Wellness 52